Special Claims Investigator
Job Description
At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best.
Great American’s Special Investigation Unit (SIU) stands to prevent, detect and investigate instances of potential insurance claims fraud, collaborating with business units in the proper handling and required reporting of fraudulent claims while exhibiting high professional standards of conduct.
Our SIU team is looking for a Special Claims Investigator to join their team. This individual must have the availability for overnight business travel both within their state of residence and to out of state locations. The position is fully remote.
Essential Job Functions And Responsibilities
- Conducts specific investigations for claims cases:
- Investigates all suspect fraud referrals.
- Secures necessary information (i.e., reports, policies, appraisals, releases, statements, or other documents) to assist in the investigation of claims.
- Identifies trends and patterns of suspected fraudulent activity.
- Personally handles field investigations or assigns field work (i.e., surveillance, statements, etc.) to independent investigation firms.
- Coordinates efforts with law enforcement agencies, state agencies, Claims personnel, and counsel.
- Prepares investigation reports and detailed comprehensive reports. Evaluates claims and recommends courses of action to management.
- May provide evidence and/or testify in cases where law enforcement agencies pursue prosecution.
- May assist in developing program awareness or conducting training on the detection, deterrence, and prevention of fraud.
- May provide guidance to less experienced staff and serve as a resource to other functional areas.
- Performs basic searches and prepares basic reports, utilizing databases, and technology that support investigations:
- May participate in identifying enhancements to improve performance and functionality of technology applications.
- May participate in testing the application.
- Performs other duties as assigned.
Job Requirements
Education: Bachelor’s Degree or equivalent experience.
Field of Study: Law Enforcement, Criminal Justice, Liberal Arts, Business, Computer Science or a related discipline.
Experience: Generally, 3 to 6 years of related experience, including Criminal Investigation or Fraud Detection experience. Professional designation (i.e., Certified Fraud Examiner, Private Investigator license, etc.) from a recognized National Investigation Organization or State Agency preferred.
Ability for overnight travel.
This job is non-exempt in California
Business Unit
Corporate Claims
Salary Range
$65,000.00 -$77,000.00
Benefits
Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role’s scope and complexity, along with business needs.
We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.
Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.